Navigation Links
Home health visits greatly lower readmissions for heart surgery patients
Date:5/1/2014

MANHASSET, NY A study from North Shore University Hospital's (NSUH) cardiothoracic surgery department demonstrated a very significant reduction in hospital readmissions after coronary artery bypass graft (CABG) surgery. This study is featured in the May 2014 issue of The Annals of Thoracic Surgery, the North Shore-LIJ Health System announced today.

The CABG patients who did not receive home health care through the Follow Your Heart program were three times more likely to either be readmitted to the hospital or pass away, the study found. The 30-day readmission rate for patients receiving the typical care after this surgery was 11.54 percent, while those receiving home health care had a readmission rate of 3.85 percent.

A total of 401 patients participated in the study with 169 receiving cardiac surgery nurse practitioner (NP) home visits and 232 receiving usual care following CABG. In Follow Your Heart, a cardiac surgery NP, who helped care for the patient in the hospital, visited the patient at home twice within the first 14 days after discharge. The NPs provided directed physical exams, medication management and served as the communications hub for the patients and all pertinent care providers, including community resources such as family practitioners and cardiologists. The NPs are equipped with encrypted smart phones to provide email reports to care providers and send pictures back to the surgeon for advice about wound care if needed.

Having this continuity of care from a cardiac surgery NP greatly impacted the patients at home. The NPs provided more directed management for the patients and ensured that patients were following appropriate, updated instructions, according to Michael Hall, MD, division chief of adult cardiac surgery at NSUH. In addition, communication with community providers helped prepare them for the handoff of the specific patient after the first two weeks. This greatly prevented adverse consequences including readmission with added cost savings.

"We found that patients sometimes were not obtaining new medications because of cost issues, taking old medications with the mistaken belief that they were just as good, and failing to see community physicians because of lack of transportation, among many other things," Dr. Hall said. "All patients have specific needs that need to be individualized after discharge. We found that most problems could be solved by our nurse practitioners, who already knew the patients, once they were in the home."


'/>"/>

Contact: Alexandra Zendrian
azendrian@nshs.edu
516-465-2607
North Shore-Long Island Jewish (LIJ) Health System
Source:Eurekalert

Related medicine news :

1. Implementation science can create a workforce equipped for new health care environment
2. Extreme sleep durations may affect brain health in later life
3. Surgeons and health care settings influence type of breast cancer surgery women undergo
4. New health system scorecard shows little progress among states from 2007-2012
5. A risk management framework improves health systems resilience to high-impact weather
6. The latest in scientific research in childrens health to be presented in Vancouver
7. CWRU researchers profile womens employment, caregiving workloads, effort and health
8. NIH center sets new goals for global health research and training
9. New high-detail atlas offers tool to explore local environment and health
10. Inaugural Brain Health Summit focuses on brain resilience and regeneration
11. Clinics not bogged down by red tape can ease health cost burdens
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/22/2017)... ... January 22, 2017 , ... "Photo Cloud allows FCPX ... a beautiful 3D slideshow with complete ease," said Christina Austin - CEO of Pixel ... place in the FCPX timeline. Presets include scenes with one, three, four ...
(Date:1/21/2017)... ... , ... Caronlab Australia, an Australian company known for health and beauty products ... SC, where it benefited from outstanding meetings with major retail buyers. , Caron Labs ... At this trade show, the company had the chance to demonstrate its products and ...
(Date:1/21/2017)... ... ... perfect set of tools for video editors that want to create the illusion of rack ... of Pixel Film Studios. , Video editors using ProDOF can add realistic depth of ... from one area into the next. ProDOF comes with 0.5 second, 1.0 second, 1.5 ...
(Date:1/21/2017)... SAINT- MALO, FRANCE (PRWEB) , ... January 21, 2017 , ... ... heart of the Indian Ocean, isolated from the rest of the world with ZANZIBAR ... of East Africa, Phytocéane used key ingredients, Virgin Coconut Oil and moisturizing vegetal coral ...
(Date:1/21/2017)... Rosa, CA (PRWEB) , ... January 21, 2017 ... ... announce that Redwood Family Dermatology has recently joined their multi-specialty medical ... a full range of cosmetic services. , “We’re excited to add this excellent ...
Breaking Medicine News(10 mins):
(Date:1/19/2017)... 19, 2017 Report Details ... Alzheimer,s Disease ... Companies – our new study reveals trends, R&D progress, ... events affecting the Alzheimer,s disease therapeutics and diagnostics market. ... key questions: - How is the Alzheimer,s disease therapeutics ...
(Date:1/19/2017)... ATLANTIC CITY, N.J. , Jan. 19, 2017 /PRNewswire/ ... paying over $100 for their medication when a pharmacy ... the same exact prescription.  To alleviate this problem ... doctors and patients to see exactly how much their ... Comparison Shopping Made Easy ...
(Date:1/19/2017)... LONDON , January 19, 2017 Incretin ... Sympathomimetics and Others The global anti-obesity drugs ... the first half of the forecast period and CAGR of 38.7% ... expected to grow at a CAGR of 32.8% from 2016 to ... million in 2021, and $24,063 million in 2027. ...
Breaking Medicine Technology: